Active NPI
Brenda Gomez, MA LPC
- Professional Counselor
- Yuma, AZ
National Provider Identifier
1801228291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-13904
- Practice address
- 2851 S Avenue B BLDG 25
Yuma, AZ 85364-7726 - Phone
- (928) 336-1611
- Fax
- (928) 336-7497
- NPI assigned
- Aug 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-13904 | AZ | Primary |
Addresses
Primary practice location
2851 S Avenue B BLDG 25
Yuma, AZ 85364-7726
Mailing address
2851 S Avenue B BLDG 25
Yuma, AZ 85364-7726
Phone (928) 336-1611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-13904 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1801228291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2851 S AVENUE B BLDG 25",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647726",
"telephone_number": "928-336-1611",
"fax_number": "928-336-7497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2851 S AVENUE B BLDG 25",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647726",
"telephone_number": "928-336-1611",
"fax_number": "928-336-7497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "BRENDA",
"credential": "MA LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-07",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-13904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.